Harriman Feedback Form

Harriman Feedback Form

We value your feedback and suggestions regarding Harriman government's performance and services. Your input will help us understand your needs better and improve our efforts in serving you and the community. Please take a few minutes to complete this feedback form. Thank you for your participation.
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
How satisfied are you with the overall performance of our local government?

Very SatisfiedSatisfiedNeutralDissatisfiedVery Dissatisfied
How would you rate the responsiveness of our local government in addressing community concerns or inquiries?

ExcellentGoodAveragePoorVery Poor
Which of the following services provided by our local government have you utilized or experienced? (Please select all that apply)

Public TransportationWaste Management & RecyclingEducation & SchoolsHealth & SanitationSocial Welfare ProgramsRoad Maintenance & InfastructureBusiness & Economic DevelopmentPublic Safety (Police, Fire, Emergency Services)Other
Please rate your satisfaction with the specific service(s) you selected in the previous question:

Very SatisfiedSatisfiedNeutralDissatisfiedVery DissatisfiedOther
How effectively do you think our local government communicates with the community?

Very effectivelySomewhat effectivelyNeither effective nor ineffectiveSomewhat ineffectiveVery ineffective
How would you rate the transparency of our local government in terms of decision-making and resource allocation?

Very transparentSomewhat transparentNeither transparent nor opaqueSomehwat opaqueVery opaque
Are there any specific areas where you believe our local government should focus more attention or improvement? Please provide details:
Do you have any suggestions or ideas on how our local government can enhance its services or better engage with the community? Please provide details:
How did you hear about this feedback form? (Optional)

Local government websiteSocial MediaCommunity NewsletterWord of mouthOther
Please list any general feedback you wish to provide.
Should be Empty: